SLAWOMIR KUSMIREK M.D.
NPI 1366530784
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Q: What is Slawomir Kusmirek's NPI number?

The NPI number for Slawomir Kusmirek is 1366530784. It was assigned to this individual provider in the NPPES registry on October 11, 2006. The provider is also known as Slawomir Luke Kusmirek M.D..

Q: What is Slawomir Kusmirek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Slawomir Kusmirek was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment

94.74/100

CMS Quality Rating

245 N 15TH ST # MS 470, PHILADELPHIA, PA 19102(215) 762-3457(215) 762-3028 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Slawomir Kusmirek M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SLAWOMIR KUSMIREK M.D. (NPI 1366530784) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD431778) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1366530784

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSLAWOMIR KUSMIREKCredential: M.D.

Location Address245 N 15TH ST # MS 470Philadelphia, PA 19102-1101

Mailing Address1601 Cherry St, Suite 11511Philadelphia, PA 19102-1320 · (215) 255-7822 · Fax (215) 255-7825

Phone(215) 762-3457

Fax(215) 762-3028

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateOctober 11, 2006

Last NPPES UpdateMay 12, 2016

✔ NPI 1366530784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD431778

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

245 N 15TH ST # MS 470, Philadelphia, PA 19102

Open in Google Maps ↗

Other Names 1

Professional Name (2)Slawomir Luke Kusmirek M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Slawomir Kusmirek M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921192147

PECOS Enrollment IDI20070919000527

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Slawomir Kusmirek reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drexel University

Same address

Physical Therapy

245 N 15TH ST # MS 502
Philadelphia, PA 19102

Reassigned Medicare billing, Pennsylvania enrollment
335 clinicians in this Medicare group

NPI 1598999351 (215) 762-7460

Tower Health Medical Group

9.4 mi

Transplant Surgery

8835 GERMANTOWN AVE
Philadelphia, PA 19118

Reassigned Medicare billing, Pennsylvania enrollment
1,473 clinicians in this Medicare group

NPI 1306476924 (484) 628-7700

Phoenixville Clinic Company LLC

22 mi

Neurology

140 NUTT RD
Phoenixville, PA 19460

Reassigned Medicare billing, Pennsylvania enrollment
529 clinicians in this Medicare group

NPI 1275173957 (610) 983-1100

Coatesville Cardiology Clinic LLC

32 mi

Cardiovascular Disease

3025 C G ZINN RD
Thorndale, PA 19372

Reassigned Medicare billing, Pennsylvania enrollment
24 clinicians in this Medicare group

NPI 1427369404 (610) 384-2211

Reading Hospital

49 mi

Family Medicine

430 N 2ND ST
Reading, PA 19601

Reassigned Medicare billing, Pennsylvania enrollment
399 clinicians in this Medicare group

NPI 1386702413 (484) 628-0400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,961 services1,331 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

718 services265 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

640 services83 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

469 services175 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

311 services250 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

266 services196 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

256 services91 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

156 services122 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

83 services82 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

64 services51 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

42 services31 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

35 services35 patients

Programming of multiple lead implantable defibrillator system 93284

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

30 services22 patients

Insertion of pacemaker and upper and lower heart chamber electrode 33208

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

24 services24 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

20 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services18 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

18 services16 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation 93656

This is a procedure to treat atrial fibrillation, a condition causing irregular heartbeats. It involves a detailed heart evaluation using electrophysiology. A catheter is then used to destroy the problematic area causing the issue. Specifically, isolation of the pulmonary vein is done to regulate the heartbeat.

17 services17 patients

Programming of cardiac rhythm monitor system 93285

Programming of a cardiac rhythm monitor system involves setting up a device to track your heart's activity. This helps identify irregular heartbeats or rhythms. The data collected assists your healthcare team in making accurate treatment decisions.

15 services12 patients

Insertion of heart rhythm monitor under skin 33285

The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.

12 services12 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

11 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390123

Location1600 East High StreetPottstown, PA 19464 · Montgomery County

Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390127

Location140 Nutt RoadPhoenixville, PA 19460 · Chester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.58

Promoting Interoperability

Improvement Activities

Cost

85.55

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Slawomir Kusmirek's NPI number?

The NPI number for Slawomir Kusmirek is 1366530784. It was assigned to this individual provider in the NPPES registry on October 11, 2006. The provider is also known as Slawomir Luke Kusmirek M.D..

Where is Slawomir Kusmirek located?

Slawomir Kusmirek practices at 245 N 15th St # Ms 470, Philadelphia, PA 19102. The listed phone number is (215) 762-3457.

What is Slawomir Kusmirek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Slawomir Kusmirek enrolled in Medicare?

Yes. Slawomir Kusmirek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Slawomir Kusmirek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Slawomir Kusmirek reassigns Medicare benefits to 5 organizations: Drexel University (Philadelphia, PA), Tower Health Medical Group (Philadelphia, PA), Phoenixville Clinic Company LLC (Phoenixville, PA), Coatesville Cardiology Clinic LLC (Thorndale, PA) and Reading Hospital (Reading, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Slawomir Kusmirek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Slawomir Kusmirek accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Slawomir Kusmirek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Slawomir Kusmirek affiliated with any hospitals?

According to CMS data, Slawomir Kusmirek is affiliated with Reading Hospital, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Slawomir Kusmirek was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.